FDA Adverse Event
Injury
Summary report: N
DA VINCI S SURGICAL SYSTEM
MDR report key: 1646669
·
Received March 26, 2010
Report
- Report Number
- 2955842-2010-00121
- Event Type
- Injury
- Date Received
- March 26, 2010
- Date of Event
- September 16, 2009
- Report Date
- February 7, 2010
- Manufacturer
- INTUITIVE SURGICAL, INC.
- Product Code
- NAY
- PMA / PMN Number
- K081207
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ON MARCH 18, 2010, THE SURGEON REPORTED THAT THE PATIENT EXPERIENCED MOTOR WEAKNESS IN HER RIGHT HAND THAT PREVENTED HER FROM OPENING HER HAND. THE SURGEON ALSO REPORTED THAT THERE WAS NO MALFUNCTION OF THE DA VINCI S SURGICAL SYSTEM DURING THE PROCEDURE, AND THAT HE BELIEVES THE INJURY TO THE PATIENT'S RADIAL NERVE WAS DUE TO THE PATIENT'S ARM POSITIONING. IN ADDITION, THE SURGEON REPORTED THAT AFTER 3 MONTHS OF OUT-PATIENT PHYSICAL THERAPY THE PATIENT HAS FULLY RECOVERED AND SUSTAINED NO PERMANENT DAMAGE. AS OF MARCH 18, 2010, THERE HAVE BEEN NO REPORTED RECURRENCES OF THE ISSUE AT THIS HOSPITAL.
Description of Event or Problem · 1
IT WAS REPORTED THAT POST A DA VINCI S THYROIDECTOMY PROCEDURE, THE PATIENT EXPERIENCED NUMBNESS, DUE TO RADIAL NERVE DAMAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DA VINCI S SURGICAL SYSTEM | ENDOSCOPIC INSTRUMENT CONTROL SYSTEM | NAY | INTUITIVE SURGICAL, INC. | IS2000 A51.P8 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 48 YR | Other | DVS INSTRUMENTS| ACCESSORIES |